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HomeMy WebLinkAbout95-00383 --- Estate 01 Plor""",, ,.' also known as PETITION FOR PROBATE and GRANT OF LETTERS O?/- CiS- - .=3P 3 Silo" f fpr No. To: Register of Wills for thc t..eceased. County of ('11m"",. 1 :In,l In the Social Security No. I If.;).. ;).?- - 7 "...;;..... Commonwealth of Pcnnsylvania . Thc petition of thc undersigned respectfully represcnts that: Your pctitlonere.,). who is/aile 18 years of agc or older an the exccur,. i " In thc last will of thc abovc deccdent, datcd and c:odlcll(s) dated Mnv 2 namcd 19....ll.L- (Itate relevant dmunuances, e... reuunciuJoD, deuh or executor, etc.) Decendcnt was domiciled at death In Cumberland " "r last family or prlndpal residencc at Ii 1 7 IJn r t h Ra" t pennsvlvania County. Pcnnsylvania, with ~trnp-t. CArli~ln_ . (Us. au.... numb... and mundpall'y) Decendent, thcn 9' CJ... years of age, dled Ma v 10. , 199 5 , at (\~rl i ~lr-. rllmhnrl..,nrl ""nt1n"'~' Pnt'lnQl'1":1nl~ : Except as follows, decedcnt did not marry, was not dlvorced and dld not have a chlld born or adopted after execution of the will offered for probatc; was not the victim of a killing and was ncver adjudicated Incompetcnt: Decendent at death owncd propeny with estimated values as follows: (If domiciled In Po.) All pcrsonal propcny (If not domiciled In Pa.) Personal propeny in Pennsylvania (If not domiciled In Plt.) Pcrsonal propcny in County Value of real estate in Pennsylvania . situated as follows: S 470.000.00 S S S nO.noo.oo WHEREFORE, petltloner(s) respectfully request(s) the probate of the last will and c:odlcll(s) presented herewith and the grant oflener' I-""I-:lm"nl-""y (teswnentary; :u1minisllalion c.t.a.; admJnlJlratJon d.b.n.c.t...) theron. f~ ..'6" ....~ lj.= -:::J! 11'. ~= ! Iii ~Al~ 7 :/. ,(I .' _e.~)' . a p~ Sheaffer 1~ 7 Countrv Cluh Rnnn r*r\};"1"4~' 17~~ " fI" ~ _ t ~ ~/ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF ~h"rl;}"rl Thc petltloner(s) above-named swear(s) or afflrm(s) that thc statements In the foregoing petition are (rue and correct to (hc best of the knowledge and bellcf of pelitloner(s) and that as personal represen- (alive(s) of thc above decedent petltioner(s) will well an truly admirtlstcr the estate according to law. / ~, Sworn (0 or affirmed and subscribed f ' - I ~/ %i V before me (his 1 r; I- h day of /. ~ -f7' ,'j L't:1.<Iv. C(l9-9.b. "1 ~ /~~k~ ~: '~~~~~~'r" /~'-lt' ~~~:1J t;Vi~<;" ~ .aJ.( - J..( Estate of FLORENCE (,. SlIEni"('ER , Deceased No. 21 - lJS - 383 DECREE OF PROBATE AND GRANT OF LETTERS AND NOW Ma V 22. 19 95 , In conslderadon or thc petidon on thc rcvme sldc hereof. satisfactory proof having bceD presented Wore me, IT IS DECREED that thc InstrWDcot(s) daI"" Ma V 2, 19 B 4 described therein bc admIued to probatc and med of record u the Iut will of p10rcnce E. Sheaffer and Letters l'J1I'\Qto;1m,-.nr:lry are hereby granted to r..:'Il,ln C:hn:.FrnY' RqIa"; or~ I ~ 77 ~ l}~ MARY C. LEWIS FEES Probasc, Letters, Etc. ......... t 375.00 Shon Ccrdflcates( !) .........., 15 .00 R~\IlIclatlon ................ S~ , x-page ~ . JCP TOTAL _: 40~ T Filed .-..... .~~Y. .~~ I. .l.~~?............. James D. Flower, Jr. fl27742 ATI'ORNIlY (Sup. a. I.D. No.) 11 East lIiqh Street, Carlisle, PA 170D ADDRESS 717-243-5513 PHONS .- '.'. i , on ccr -. - :-:. .n U1 :D :J)f!'l r ~ :', II.) <J ,f'l .' .. 1-' .( ~ I P': l' , r:". "" -, ,- I In .- -' IJl ,,1 :-: ~ ~ ~ fll wn: n: ~ ., ? "iE ~- :;) 00 ,; ~, ).>;.:1 ~, ~ ,-, U, \0 1,..) c' I ." Called attorney on 5-22-95. 21 - 95 - 383 REGISTER 0.' WILLS 0.' CUMflERLAND COUNTY OATH OF SUBSCRIBING WITNESS Shirlcy W. Ahlers lXIllIkll (xack) a subscribing wilness to Ihe will prcsellled hcrewlth. (leadl) being duly quullfied according 10 law, depose(s) and suy(s) thai ..h", presenl and saw Florcncc E. Sheaffer the lestat rix ,sign the sume and thul shc signed as a wlllless atthc request of leslal...t:ix..ln II ",. presence and (In thc presence of each olhcr) (In Ihe prcsence of the other subscribing wltness(es)). Sworn to or arnrmJ.d and subscribed before me Ihis 1'1' day of ~~ t~95 IJ/fArifl. '''~''I.t-\.' )~ RY C. LEWIS Register Carlisle PA 17013 (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS J (tM.~\ \b. V I n t.V-e.A... /i.,-,,-~Q ~J rJ /~'-"-< 0 1=" ~DLU..e,- .J '0. (eac ). a subscribcr herelo. (ellch) being duly qualified according 1"1 law, depose(s and 5 y( ) Ihat familiar wilh the signalure of "-J~1..L ~ ~ 1.,1..1 .4- ( . uf (one of the subscribing wilnesses to) Ihc wl~esenlcd herewilh and thai ~ '^-~ bcllcve\ the slgnalure on Ihe will is in the handwriting of 'I\.lot bdh:kHllMlll"n,m. nf the-will l'rcwlt<d hcrc..ilh and Ihol '-<:Odlelj... Mile"" th~g~u~lC-UIlll i. hHlte-handwriting-ot; 10 the best of j:u.cL knowledge and belief. Sworn 10 or affirmed and subscribed before me this /0 day of 2 7) ~av >f~9~ ~ /1, ~ ( , Jf" Uta " <-<-- V)Jf RY C. LEWIS Register l'lOt) rltl~~Q7. R 170t'3 " 'h. \0 t~.:( ,) ~q Po "'0: - ,') eC , '. '_-J In <.) ,- " '.' ;1; j~ >- :~j '", :1. ,~. ., h' '}-i " 'lcn i,"',<l (. riJ ,'..0 WCJ: .lQ ,: g a: ~,l) UO ., " .',e,-;;' 21 - 95 - 383 0\ t:!( .- I{) 0 '0: .'~ 0 '1 : ;./ --; ~, .~": (~l }.--'. - , In , , " - '0 l' .~!~ 0:: ~) ~ -~: " . ~ij 0-11. 3~ om ~ ,- alO:: al a: U -,\ I !. I i " , ~'itj)~Jt I, FLORENCE E. SHEAFFER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my last will and revoke all wills and codicils which I have previously made. I I direct my executor hereinafter named to pay all of my juet debts, funeral and administrative expenses and inheritance and eimilar taxes as soon as convenient after my death. II I give and bequeath to my sister's daughter, Judy Mayberry Golec, the sum of Twn Thousand Dollars ($2,000.00), and to her daughter, Stacey GOlec, the sum of Two Thousand Dollars ($2,000.00). III I give and bequeath to my grandson, Randy Sheaffer, my stereo, television, and antique table in my dining room, and to my granddaughter, Sandy Sheaffer, my diamond ring and my ruby ring. IV All the rest, residue and remainder of my estate I give, devise and bequeath, in equal shares, to my two grandchildren, Sandy Sheaffer and Randy Sheaffer, and my daughter-in-lew, Gayle Sheaffer, provided, howevar, that the one- third payable to my said daUghter-in-law shall be on the express condition that she shall not have remarried prior to the date of my death, otherwise her share shall lapse and be added to the shares of my two grandchildren. If either grandchild shall predecease me leaving issue to survive, said issue shall take my deceaeed grandchild's share by representation. V Any share of my estate which shall become distributable to a minor may be held in a savings account, certificate of deposit or similar security, in a federally insured banking or savings institution in the name of the minor and marked not to be withdrawn until the minor attains the age of 18 years, VI - I appoint es executor of this will my grandson, Randy Sheaffer, and if he shall fail to qualify or cease to act as such during the administration of my estate, I appoint my granddaughter, Sandy Sheaffer, as alternate executrix of this will, and if for any reason she shall fail to qualify or cease to act as such during the administration of my estate, I appoint my daughter-in_law, Oayle Sheaffer, as seocnd alternate executrix. IN WITNESS WHEREOF, I have hereunto set my hand and eeal this 2nd day of May, 1984. ., -rt',f;:,,'-,fCP r) c/ Yjr/~4c- ,/,.- (SEAL) . . , ... . '- ,. Signed, eealed I published and deolsred by Florance E, Sheaffer, testatrix sbove namsd,as and for her last will snd testament, written on two sheets of paper, in our presence, who, in her presencs,at her requeat, and in the presence of each other have hereunto aubscribod our names as attsating witnesses: ~1~. '/I ~ '3'/4' /17.4.1_'" n.~ 6" .-, . 21 - 95 - 383 RENUNCIATION In Re Estate of Florence E. Sheaffer deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Randy Sheaffer and Sandy Sheaffer of the above decedent, hereby renounce(s) the right to administer thc estate and respectfully ask(s) that Lellers Testamentary be Issued to Gayle Sheaffer WITNESS our hand this 15t-h day of M"y , 19.9..5-. ~. rx~~~f't~~ ~~/J(,f>(o - ~(~ISnaIU") Sandy Sheaffer '- \0 Q '^ ~.;> 1-:::( ;~n: , , " lr\ ~ , ,.,. >- 'j " :,'1 ~ " " u '" n <lIa: l>I " a: i~ !3 OU <J o-{ 1cS--f'leR.Jz &M;t f ~ (Add:;6J- :ri~ ~t~ (SlsnaIU"1 -;;J 'l~~J 1/19'1 (Add,...) ., ,J ,.-. 'J.- 'OflJ liJQ 'f._l~ :l f.~'j '(3 .~'\ . r:5 'it '1:):h to,: o T:h UCJ) &0: 01 1/). o :;;: lr\ 'l.::~( ::\0. '8, · - ~, -d , r...J '0 , ,,--: \. r:: Jbi '_""0 '':'E .!!!::> UU , .U $ ~ ., ;E~,;.l;~~,\~:~H~~~ \ ~;;;~~i1~}:t~: . -, -,__.J ,.,-,- .-,- L~_ Rc:: R.; '.J! '. 'C' 0' II'" CERTIFICATION OF NOTICE UNDER RULE 5.6(a) '95 IIAY 25 r J :: Name of Decedent: Florence E. Sheaffer Date of Death: May 10, 1995 Clei. Obll';'" H" '-'. p Will No. Admin. No. 21-95-0383 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court :Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Mav .;)5 . 1995 : Name Address Judv (Mavberry Gole~\ Kpnnpny. liRl nnnpwnnn nriuPr rhl3c::::...p,.....nn. IN 14604 Stacey Golec, 581 Dunewood Drive, Chesterton, IN 14604 Randy Sheaffer. 815 Sandy Bottom Road, Earleville. ND 21919 Sandy Sheaffer, 87 Breezy Point Place, The Woodlands. Texas 77381 Gayle Sheaffer, 7 Country Club Road, Carlisle, PA 17013 No~ice has now been giv~n to all persons ent~tled thereto under Rule 5.6(a) except Date: Mav,;l~ ] 995 D. Flower, Jr. Address 11 East Iliqh Street Carlisle, PA 17013 Telephone(717) 243-5513 Capacity: Personal Representative x Counsel for personal representative ... -, ~- ......-. -. -- " ______.-._ ___ _... _ ........-...,r- __._.___.._. ___"_~_" -- --- -~..~- _... _.- H.._. ~ .... ._~... D AAO 48090 COMMONWEALTH OF PENNSYLVANIA NO. DIPARTMINT OF RIVINUI OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ,'j.l~ -~ .rv.lI62ul....41 RECEIVED FROM, fJ ACN ASSESSMENT P:' CONTROL 1:,1 NUMBER AMOUNT FLOWER JAMES D JR 11 EAST HIGH STREET 101 t3b,OOO.ob CARLISLE PA 17013 '0I0HIII. ESTATE INfORMATION, ~ FilE NUMBER Y e 1-199~-03S3 EJ NAME OF DECEDENT (lASTI II OATE OF PAYMENT EJ POSTMAR COUNTY SSN 1be-ee-b7se (FIRSTI (Mil OATEOFDAH REMARKS m TOTAL AMOUNT PAID ___3la.000.00 , . ,:-}Q ..""" ;;12~.4I~U) MARY C. LEWIV REGISTER OF WILLS SEAL GAYLE SHEAFFER C/O JAMES D FLOWER JR,E6Q CHECK" 27 REGISTER OF WILLS '="'--.----~- --------_...-_-.:---~,..- -...--.- ~ -~- --,....,.. ~~,-'-':"'--- ,",:,"-.--- - -...... _.~- ~ . .' -' ... , J 0>, . ' " ..--- . _~.~_~--.--.; .............~u _ _"''''' 0"','."_ I' ... .... :IIl'~"" ...",.. ......... =00 ~s~ 'iNHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) '* J5-3'-i .... is iii :d .. CCMMONWI'AlTH O' PENNSYLVANIA DEPAUMI!NT O' R1VfNUI' Dm, 21DOOI HAUIS.URa. PA 17 21-0601 ctCIOIN"~ NAME t1AS1', flU'. AND MIOOll INIIIA~1 Florence E. $eX1,.! SlCUIITY NU In DAII 0' DIATH '0' DATU 0' DIATH AfTI' 12/31191 CHICKHI.I " A SPOUSAL 0 POVI.TT C.IDIT IS CLAIMID flU ,'\IUM.I. 21-95-0383 COUNTY COOE YEAR Dh:I!DIHf'S (OMPUl( AOOIlU (!~ NUMBER 617 North East Street Carlisle, PA 17013 Co.. Cumberland AMOUtH UCElVID tsn INnJlUOION51 162-22-6782 ~ 1. Orlglnol R"Ur" o ... Umit.d Ellal. o 2. Supplemental R.tur" o ~a. Futur. 'nf.r..' Compromit. (for dol.. of d.ath oh., 12.12.821 (XJ 6. D.ud.", Di.d T.stat. 0 7. D.ced.nt Maintained 0 Uwlng Trult (Allach copy of WilQ (Allach copy of TIVII) AU CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRErnD TO. NAMI COM'lUl MAIliNG ADOIIU James D. Flower Jr. Es uire Flower, Morgenthal, IILII.cN'NUM.n 11 East High Street 243-5513 . PA 1 013 ,h.... ...is "''' "'= 3~ z o 5 => t: :c :d '" z .. ;:: c .... => ... '" o ... .. c .... o 3. Remalnd.r R.turn (la, doll. of dlath p,la, to 12.13.B21 o 5. Fed.ral Earol. Tax R.tum R.qulr.d JL 8. Total Numb.r of sof. C.poal. Boxe. .. tf':.. .... 1. Rial Eliot. (Schedull A) ( 1 1 2. Stoch and Band. (Schldull B) ( 2 1 3. aOllly H.ld SladUPartnlnhlp Inll,.II (Sch.dul. q ( 3 ) A. Mortgag.. and Not.. Rec.ivabl. (sth.dul. 01 ( .t ) 5. Ca.h. Bonk O.po.ill & MIscellaneou. p.,.onal Prop.rty ( 5 I (Schldul. E) 6. Jointly Own.d P'aplny (Schldull FJ 7. Tran.fon (Schldul. GI(Schldull L) 8. Total Grall Aue'. (Iotal Un.. 1.n 9. Funeral Eap.n.." Admlnlslratlve CoSII, Mi.eelloneous Eapens.. (schedul. H) 10. Dlb". Mangag. Uabilillll. U.n. (Schldul. I) 11. Total D.ductlon. (Iotol Un.s 9 & 10) 12. N.t Valu. of E.tate (Une 8 mlnu. lIn. 11) 13. Charitabl. and Governm.ntol Bequ..t. (Schedule J) lA. N.t Value Subl'd to Tax (Une 12 mlnu. Line 131 15. Spou.al Tran.fe,. (for dot.. of death after 6.30.9.11 S.. InstNetlon. for Ar,plleobl. P.reentag. an R.ve,.. (15) Side. (Indud. valulI rom Schedul. K or Schedul. M.) 16. Amoun' of Un. 1.t taxobl. at 6% rat. (Includ. valu.. from Schedule K or Schldul. M.) 17. Amount of Une IA toxobl. at 15% ral. (Indud. valulI from Sth.dul. K or Sch.dul. M.I 18. Principal lax due (Add tax from L1n.. 15, 16 and 17.) 19. Cr.dit. Spou.al Poverty Credit Prior Paym.nl. Dbcount + '36. nnn nn + 1. Rqd /;R_ 20. If Un. 191. greater than Un. 18, enter ,h. diff.rence on Un. 20. This II ,h. OVERPAYMENT. aD 21. If line 18 t. greo'.r than Une 19, .n,.r the difference on line 21. Thl. Is the TAX DUE. A. Ent.r thelnt.re.t on Ihe balance due on Un. 21A. B. Ent.r Ih. lotol of Une 21 and 21A on lIn. 218. Thi. i. the BALANCE DUE. Male. Ch.cle Payable tal R.al.t.r 0' Willi, Agent ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ..c:..c: ~~der penalli.. of p.rjury, I d.dar. that I hOYllXomined Ihl. r.turn, Including accompanying schedule. and .tal.m.nll, and 10 the be,' of my .nowl.dge and b~Ii.~, It II Iru., c red and compl.t.. I d.dar. Ihal all real ..rate has b..n r.porteer at true market \lalu.. Declaration of Pllpar.r oth.r Ihan Ihe p.nanol repre..ntotlve " ba..d 0 IlnformOllo of hleh prepor.r hat any .nowl.dg.. SIGNAl f PUSON 1'0 01: , !~U.N /" DOlUS Flower & Lindsay ql,OOO 00 510.119.10 o o 17.070.84 (61 (7) o 10.18'l.00 (B) 670.574,Q4 (9) 33.230.14 (10) 2.369.92 o (111 35.600.06 (121 614.974.88 1131 0 (lA) 634.974.88 )(._1iI 0 )C' .06 III 37,858.49 )C' .15 II 600 nn (l8) 38,458.49 1191 37,894.68 (20) 0 (16) 630,974.88 (17) 4.000 00 Int.re.t Check here if you ore requesting a relund of your overpayment. 563.81 o (211 (21AI (21B) ~t:;, Q, DAT! 11/3 DAT! IQ'l 111 '3 /q'l Act #48 of 1994 provide. far the reduction of the tax rate. Impa..d on the n.t value of Irand.,. 10 or for the u.e of the .pou... The ral.. a. pr.aerlbed bV the .Iatul. will bet e 3% (.03) will b. applleabl. for e.late. of decedent. dying an or aft.r 7/1/94 and before 1/1/96 · 2% (,02) will b. applleabl. far ..tat.. of dec.d.nll dying an or after 1/1/96 and befar. 1/1/97 e 1% (,01) will b. applicable for e.tat.. of dec.denll dying an or aft.r 1/1/97 and befar. 1/1/98 · Spau.al trand.,. occurrIng an or aft.r 1/1/98 will be ex.mpl from Inherllance lax, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. 1. Old decedent make a transfer and: a. retain the us. or income of the property trand.rred, ".....IIlIff."III1I1'....".."............."....... x b. retain the rlghtta designate who shall use Ihe property Iranalerred ar III Income, """"""". x c. retain a reversionary Interes.; or ......................................"111'11..........,.."...................,.. x d. recetve the promise for life of either payment., ben.fll, or car.' ....t.. "UII I...".................... x 2. If death occurred on or before December 12. 1982, did decedent within two years preceding death transfer property without receiving odequote consideration' If death occurr.d after December 12, 1982, did decedent transfer property within one year of death without receiving X adequate consideratlon..I................... '.''''1 III". ...,..,. t "'" t. t t. III'." t I' t,.. "" t t t...... t,.", ",." '" t""" I X 3. Old decedent own an 'In trust for' bank oceount at his or her dlolh'."""""""",,,,,,,.,,,,.,,,,,,,, X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. I 1':'.' , RfV.1.502 EX+ .111.85) , . ,&;l~'~ _i!'tl'lbo' COMMONWEALTH OF PENNSYLVANIA INHfRlTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ~ ESTATE OF FILE NUMBER Sheaffer. Florence E. 21:-.95",038 3 (P,op.rty lolnllv-own.d with RighI 01 Survivorship mU'1 b. dl"lo..d on Sch.dul. Fl All ,.01..101. .hould b. r.porl.d 01 lair mark.t valu. whIch I. d.lln.d a. Ih. prlc. at which p,op.rlV would b. ...hang.d b.lw..n a willing buV.r and a willing I.II.r, n.lth.r b,'ng comp.II.d to buy or ..U, both having r.a.onable ~nowl.dg. of the r.l.vont facll. ITEM NUMBER 1. DESCRIPTION I Borough' known I , , I I VALUE AT DATE OF DEATH All that certain tract of land situate in the of Carlisle, Cumberland County, Pennsylvania, as 617 East North Street. Actual sale price See attached HUD-l. $ 93,000.00 lIV.1.50J IX. 1.0161 '* SCHEDULE B STOCKS AND BONDS COMMONWIAlfH C, PI'NNSYlVANIA INHUITANCI' TAX urUIN IUIDI'Nr DICIDINr ESTATE or FILE NUMBER Sheaffer, Florence E. 21-95-0383 (All prap.tly I.,ntlv....wn.d wllh RighI., Survlv...hlp mu.' b. dl.c1...d .n Sch.dul. F.I DESCRIPTION 2,346 sh. Allied Signal, Inc., common, @ 41 1/2/sh. 1,600 sh. American Brands, Inc., common @ 41 1/2/sh. 2BB sh. Atmos Energy Corporation, common, @ 17 3/4/sh. 3,369 sh. The Black & Decker Manufacturing Company, common, @ 30 1/4/sh. B5 sh. Costal States Gas Corporation, common, @ 112 1/4/sh. 1,486 sh. Mellon Bank Corporation, common, @ 41 3/4/s 440 sh. Mobil oil Corporation, common @ 98 7/8/sh. 1,924 sh. Pacific Lighting Corporation, common, @ 28/sh. 5 sh. Ridge Creek Gas & oil Company, Inc., common, no value VALUE AT DATE OF DEATH 97.359,00 66,400.00 5,112.00 101,912.25 9,541.25 62,040.50 43,505.00 53,872.00 0.00 104 sh. Sun Company, common, @ 31/sh. 3,224.00 111 sh. Phillips Gas Company, 9.32% preferred, cumulative perpetual preferred, Series A, @ 26 3/8/sh. 2,927.63 3,300 sh. U.S.A. Liberty All Star Equity Fund, @ 9 5/8/sh 31,762.50 13. 1,843.6580 sh. New England Star Fund, @ 14.24/sh. 214.7940 sh. Europacific Growth Fund, @ 22.19/sh 104 sh. Oryx Energy Company, common, @13 7/8/sh. 14. 15. See attached letter from A. G. Edwards & Sons, Inc. TOTAL {Also enter on "ne 2. Recapitulatlon1 IIf more space is n..ded, inllrl additional sh..Is o( same sin.} 26,253.69 4,766.28 1,443.00 5 ,t 0, i I I I I 'i II ,I i , i i 1 , . j , ! 'I IIV.IIOII..II"1I '*' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea.e P,lnt or T e FILE NUMBER COMMONWULTH 0' 'fNNSYlVANIA INHIIITANC' 'A. ..ruIN IIIIDIHT DICIDINT ESTATE OF SHEAFFER, FLORENCE E. (All property lolnllYoOwned wuh ,h. RighI O. Survi\'onhlp mUI' b. dl.dol.d all 5th.dlll. f) . ITEM NUMBER - . 9. 10. 11. 12. 21-95-0383 DESCRIPTION VALUE AT DATE OF DEATH $ 20,000.00 314.54 1. Harris Savings Bank, C.D. '17-003792 Interest Accrued to Date of Death 2. See attached letter from Harris Savings Bank Mellon Bank, N.A., Checking Account '182-812-5995 See attached letter from Mellon Bank, N.A. Capital Blue Cross, refund 114.10 8,529.61 3. 4. Church of God Home, Inc., refund 2,009.69 2,618.02 2,791.15 18.15 5. Cash on hand 6. Proceeds from public sale of personal property 7. United Telephone Company, refund 8. Coins 40.00 Tax proration of 1995-96 School real estate taxes Tax proration of 1995 County/Boro real estate taxes Stereo, as per personal property appraisal attache Antique Table, as per personal property appraisal attached 543,39 82,19 8.00 2,00 TOTAL (AlIa enter an line 5. Recapitulation) . S 37.070 R4 . (Anoch odditlonoI8~. )( 11- sh.". if mot. spoull n..d.d.) f-- .-.__~..__.....~ I!Y.1.S10 U. t2,'1I -!:~ COMMONW'ALfH 0' 'fNNS't'lYANIA INHUlfANCI fAX lnulN IIIIO.Nf D'CtD'Nr SCHEDULE G TRANSFERS ESTATE Of . FILE NUMBER PLEASE PRINT OR TYPE SHEAFFER. FLORENCE E. '1-q~-n1R1 THIS SCHEDULE MUST BE COMPLETED AND fiLED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OfTHE COVER SHEfT IS YES. ITEM DESCRIPTION OF PROPERTY NUMBER Inclucl. nam. af ,II. 'ranu.,.., ,Ite;, nIatiott.h;p ta cI.~cI.n'. clot. o"ron,'.r. EXCLUSION TOTAL VALUE OF ASSET DECO. I~ DOLLAR VALUE OF DECEDENT'S INTEREST $ 10,000.0 0 10,000.0 0 10,000.0 0 1. Sandy Sheaffer, granddaughter, February 24, 1995 -:Cash Randy Sheaffer, grandson February 24, 1995 - Cash Gayle Sheaffer, daughter-in-law February 24, 1995 - Cash 4. Sandy Sheaffer, granddaughter, Christmas of 1994 $10,000.00 2. $lO,OOO.CO 3. $lO,OOO.CO One round brilliant cut diamond measuring 3.4 millimeters, weighing 0.16 ct. total; SI2 clarity; H color; diamond is set in a four prong 14KT white gold head. Ring is made in 14KT white gold and weighs 2.2 grams. Appraisal attached. One Ladies Fashion Ring, one round piece of red glass, measuring 6.00 millimeters set in a four prong 14KT. white gold head on a 14KT. yellow gold band. Ring weighs 2.2 gramB Appraisal attached 325.CO 325.00 60. CO 60.00 TOTAL (Aha _nfer on IIn_ 7. RKOpitulation) S (If matW .poce i, nHd.cI. in..rt acldilionol .h..,.. 01 .am. liu.J 30.3j1...5.....-QJ) 11'111111" 17,111 TA OF ITEM NUMBER . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWfAlfH 0' peNNSYLVANIA INHUllTANCf TAX UTU.N USIDeH'DeceDEN' 21-95-0303 AMOUNT SHEAFFER, FLORENCE E. DESCRIPTION A. Funeral Expen.... 1. Hoffman-Roth Funeral Home, Inc. 1. B. Admlnl.',atlve Cal'" 2. 3. 4. C. 1. 2. 3. 4, S. 6. 7. 8. 9. 10. Penonol Repre.enlotlye Comminlon. None Sociol Seeu,lty Numbe, 01 Penonal Repre.enlollve: Yeor Comminlon. pold Allornay fees Flower, Morgenthal, Flower & Lindsay Family Exemptlon Claimant none Addre.. 01 Claimant at decedenl'. death Street Addre.. City Relation.hip Slale Zip Code Probate Fee. Register of Wills, letters testamentary MI..ellaneaus Expense" The Sentinel, advertising letters Cumberland Law Journal, advertising letters Shirley Ahlers, witness fee Register of Wills, 10 short certificates Diversified Appraisal Services, real estate appraisal Roy D. Gottshall, Auctioneer, personal property appro Roy D. Gottshall, Auctioneer, public sale commission John Boswell, real estate appraisal A. G. Edwards & Sons Investments, commission, stock Re ister of Wills filin Inheritance Tax Return See attached sheet TOTAL (Also enler on line 9, Recapilulatian) (If mo,e .pa.e Is needed, Inurt additional .h..ts of .ame sin.) $ 6,459.00 0.00 17,720.29 0.00 403.00 72.20 40.00 10.00 30.00 225.00 40,00 2),2.00 225.00 s le 6,591.65 1 5 continued "i T SHEAFFER. FLORENCE E. ITEM NUMBER A. Fun.,al Exp.n.... 1.V.ISll U.ll"I~1 B. 4, C. 11. 12. 13. 14. 5. 6. 7. 8. . SCHEDULE H CONTI FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES UED - PAGE 2 COMMONWfALJH QF 'fNNsnVANIA INHfIllTANCf fAX UJUIIN USIDfNr DfCfDfNr PI.a.. Prlnl or Tvp. MB R 21-95-0383 DESCRIPTION AMOUNT t. 1. Admlnl'lratlv. Ca.l.. Peraanal R.p....ntalive Camml..lon. Social S.eu,ity Numb.r of P.raanal R.p....ntalive: Y.ar Camml..ian. paid 2. Attarney Fe.. 3. family Ex.mplian Claimant Add.... af Claimant at d.ced.nt'. d.ath St...t Add.... City Zip Cad. R./alian.hip Stal. Prabot. F... MI.e.llan.aul Exp.n.... Recorder of Deeds, 1% transfer tax 930.00 J. C. Ehrlich, termite certification 60,00 Borough of Carlisle, final water/sewer meter reading 10.00 Appraisal of jewelry to Donoho's Fine Jewelry 37.00 Allowance for. closing costs 150.00 TOTAL (Allo .nt., on Iin. 9, R.eapitulalion) S 33, 230 . 14 (If ma,. .pae. I. n..d.d, In..,, additional sh..I. of .am. 11z..) "Y.UII.hl'"'' ~ . ~: '~t\ -' ~ COMIwIOHWIAUH 0' nNN'''~HI'' IHttllltANCI tAl "'UIN "IIDIN' OfCIOIN' ESTATE OF ITEM NUMBER 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABLlTIES AND LIENS Ploo.o P,lnt 0' T 0 FILE NUMBER 21-95-0 8 E DESCRIPTION AMOUNT I. United Telephone Company, account $ 21. 50 88.60 15.68 50.00 296.82 36,20 100.00 11.82 5.63 40.18 11. 82 348.00 21.12 2. UGI Corp., account ATS Medical Services, Inc., x-rays Kim Gable, mowing for 2 weeks Pease Pharmacy, account P. P. & L. Co., account Kim Gable, mowing for 5 weeks Boro of Carlisle, water/sewer account UGI Corp., account P. P. & L., Co., account Boro of Carlisle, water/sewer account Darr-Thumma Insurance Company. homeowners insurance UGI Corp.. account James Morrison, hauling trash and trimming shrubbery 140.00 Kim Gable, mowing 5 weeks 100,00 17.13 P. P. & L. Co., account Kim Gable, clean house 200,00 16.03 9.90 11. 82 40,00 728,50 11. 82 U.G.1., account P. P. & L. Co., account Borough of Carlisle, water/sewer account Kim Gable, mowing Darlene Moyer, tax collector, 1995-96 School Taxes Borough of Carlisle, water/sewer account SEE ATTACHED SHEET TOTAL (Also ontor on IIno 10, Rocopltulotion) s (II mar. space is need.d, ins.rt additional sh..,. a( sam. size.) '\. .rY!)IJ".l'.nl l~ '!!:!jjv~ COMMONWU~IH o. nNNlnYA'IIIA IHHUII...NCI '...IUIU_H 'lI'OINIDICIDINI J SCHEDULE I CONTINUE DEBTS OF DECEDENT, MORTGAGE L1ABLlTIES AND LIENS - PAGE 2 SHEAFFER, FLORENCE E. PI.u.. P,lnl 0' T . FILE NUMBER 21-95-0383 E5TATE OF ITEM DESCRIPTION NUMBER 24.X P. P. Eo L. CO. , account 25. U.G.I. , account 26. P. P. Eo L. Co. , account 27. U.G.I. , account AMOUNT $ 9.54 21.14 4.27 12.40 TOTAL IAllo enlor on IIn. 10, Recapitulation) (If mar. 'pacI is ne.ded, ins.rt additional .h..,. of sam. sizl.' S 2 369.92 .tv ItUII. 11111 ESTATE OF ITEM NUMBER I. 2. - . 3. 4. 5. ITEM NUMBER I. ~'J~'~" _1~jH:. COMlolONwlAl1H 01 ",..N..lv...N.... INHUIlANC' 'AI InUIN InIDI"' DIC'DIN' SCHEDULE J BENEFICIARIES FilE NUMBER Sheaffer, Florence E. NAME AND ADDRESS OF BENEFICIARY 21-95-0 0 AMOUNT OR SHARE OF ESTATE RelATIONSHIP A. TaKabl. a.quIIlSl Judy Mayberry Golec Kennedy 5Bl Dunewood Drive Chesterton, IN 14604 Stacy Golec 5Bl Dunewood Drive Chesterton, IN 14604 Niece $2,000.00 Great Niece $2,000.00 Sandra K. Sheaffer B7 Breezy Point The Woodlands, Texas 77381 Randy L. Sheaffer 015 Sandy Bottom Road Earleville, Maryland 21919 Gayle K. Sheaffer 7 Country Club Road Carlisle. PA 17013 Granddaughte 1/3 of residuary estate Grandson 1/3 of residuary estate and antiquf table Daughter- in-law 1/3 of residuary estate NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE a. Charitable and Governm.ntal a.quellll None o TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.o onlo, on lino 13. Recopltulotion) III more Ipac. II ""d.d, In,ert additional Ihll.1 of lam. ,11'1 5 o , A. SeUlement Sl81ement U.!i Ik,...nmClllllf lI\tw,.I, ',",Urb'nUc~klflmllll ~ a 011.0'" I.D FIlA 10 PallA lIJCom. U.... . "'....... ".0 VA s.c Olav, IDa. J709-VUJ oMn No. JJOUIW '.L_Hwlte. . Mort".. "*.._. ta.. H\.IItItI. C. NOll!.: n61,0I1I\" fllmllhcd 10 pw )'UU' .lallmclll 01 aau.aJ Mllllme_. RlIU. Amoun.. pltd II) lad bJ' lhe MlIkmUI.,tllIll1I Uu.w II..... aarbd "(p.o-f.," WI,. paW ouuWt 1M rlu&lll~ lilt, IrllIIon II.,.. fOf InfonIUIltuMl P"IJDU and I" not lncllMkloll" 'hi luella. O. HI"'I McI A_II' at Icwt_ I. He"'..... ".... of ..... , H'III' end _.... of lftllNIr JOHN K. ZIMMERMAN OA VUl K. SHEAFFER. EXECUTRIX NON~ OFTHE ESTATE OF FLORENCE !!.SHEAFFER so Non. I!.uIStml CARUSUl.I'A IMI) tobonoa.r UM 1400 1 603.SO " 01 Ii Ii.. .'.','" ...~i',~ I. .....i,i., ,'II .,....l~.,., . ,_. _ . f."~' 1011295 ' '. ,t... ."..,.....,. SUMMAR OF 8 LLER'S TRA SA ON J." ~'A".,t ,~",H~-4i '4Oll-0ROSSAMO UBmSf!1..1.EA1;."-""'~,..<<... .,""'..u'~ "~"il' 4111. C'..nntflt1..ae. m 93 CXXJ.OO 402. Ptrsonal "'I. ... <OS, H. ,.IUt"'ff'IIA~ FLOWER, MOROEmllAI., FLOWER &. UNDSA Y, P.c. II UAsr 11I011 5TREIrf C\RUSLD. PA 1701).))16 Q. "'0C*fp I.oc.t!orl 617 Nania EMc SUUI .......... eo_ CAR1JSlB, r^ 17013 TAX ID.: 1U497911 ",",ofl""lIttnI II P.ASTIIIOIl5'l1Wlrr CARUSlJ!. PA 1101).)016 .I~ '." .., t.lEHTOfJt.: '. ~'''';..l,''''.o'I''''~..''''' 'lJ 000.00 Ad ....mea..'or k'lN kI IMO.IOWftt...n 101. Coun t.ra 1€a ^*-mIn.. 109. CD Ooro .II f... 110. 5tttcloIllra 111. ,I> lza. DROSS ^MOUm' DUe PROM BORROWER. ICU"lnHvlftrt 'D 'D 'D 10 02 9~ID 1231 9 1002 951oB') 30 Ad "'m,nl. '0' II'IN kI 406.0110Wftflftl 401. Coull tlra Q. Alaeamcnll 409. en Rom IJb"ftI 410. Schonlt..u 411. 412. 95,229.08 41O.0R0S5AMUUm'DUDlOSl:Ll.1:R wU"lnlcm.ntt: 'n .n 82.19 S43.39 'n to 1)2 95'012 19 If) 1)2 9S,006 30 82.19 S43.39 PAlO OR IN8IDL\LPOPbOItROWERY"<'flV"A ,A'I'", -soo.~ UCI10NS IN AMOUNrDUOm S1!l.l.BR~"~~"'t-~"t!:~ti~, .. lXXJ.OO 5111. P-ltUld I '" InUnK'IInn. SOl. SeUftm'lI1 rtrl In Wile, Iille 1400 Y1] P..dtlln tn.". .....11...... trt In 5IM... nI n,.t Innn bill NONl' !OJ.... ollCC'Oftd mon 93,625.58 IO'h!'MSt 'Imo..'olftftttoln. to. . ..hn la fi .58tl.oo .... kI Idk, 'D 'D 'D "" "7, "" "" .... ..... 4,000.110 Ad IIIIllM'nll (n, Il,rm un Id telk, SIO 01 '",",11m In SII, rOll1l1 tlln In Sl2. Allnl'menll In '" '" '" ". m '"~ 519. 5:zo. TOTAL REDUcnONS IN AMOUNT nun SP.IJ.JJR 'rlIl"CASH ATSRTtt..BN TO OM sm.tJlR"t~ MI. ClrnulmoulllduelnMlltt IIMOO N12. I... ~urt__ hI 1"""'"1 dN telltt iii... J20 6.580.110 ROWBa~~"tr~"1'" 9~ 229 011 "Im.m .,~. u.,_ II ...... 0 .,> BORRUWER 9111.29.01 601 eMit liTo [] from SELU:R 93625.58 " 5Hf1.1Wl 17,IUS.sa Ilun.llUI(.) RI!.!iM. 'm4J1I12 .R"SCOM.~Cltl U .. U~ Uf:r^"IMIWI tIfIIlJl'MNO^N1ll'lIl,^N IJI\VI'f.OrMI!Nt Slrl.IUMf~f' Sf A It:MI~Nt Sdlltmtal l."h. 00 0...... ~.llO 93 lW.110 10 Eben., 41 Auoculu b . b . n T. II. . d 10 "2 9.5 '0 11 01 9' .. "'. """"M 0 ... ,,. " ,. PIood tal Pre. Loa..... - ..... '- , , - """" """'.. """" """" nil. $en..,.,,",", ee i\becNrt IH" ..e.....'1olI .. ..... n.... '..ItCISe II len .,....~ ~ 'lel"'.fllatW .~ lie.. ........: t..e""'C'O\Iefl II. Pwtwr'lC"Owtfl .. or '0 '0 '0 '0 to '0 IoJ'1IM$ D. FJo.w, , 10 'M.M ntflaL ,.......", 93 lXXJ.110 IDfIIt Httordla ..d Iff' I 'n tea: Deed 12.00. on III lU It ~ 930.00: 011 .... IloJd 9JO.oo: Mon !!<ton. ... '.14.16 '0 10 J. C F.Jnfkfl '0 Oomv DlClrliltc ToCaI s.w.-. ClIarpoI....'.._,.........."......s."...KI "-, ..... ...FIU'i!J.~!'~~. "UlM,~ II.~,"".,~."I~ OA~ !II -' -, tJ.o.xJ"". , JlIO.'" r.ld frutll flotnJ-.tr'. 1'1l1kb AI ~lIltlNnl ....,. 'month rmonth ...... ...... rmonth ....,. rftlOnlh ...... 12.00 46'.00 46.1.00 46'.00 46.1.00 fiO.110 10.00 ~ Oonu.r, Sell., 'IP...:~::..T"'!'."j~~...)t.'.......""'n........'oI....,_..., '......_.,..,,,..,....,...""".""'.... . , l ~ ...,............. October 2. 1995 nOl. I 1l:fi,J.' ".~~~o~CIt"'Jl!'r.1: 11'l11'~~t:~lxI/~~.~~ Y8,\l'" 0, ..,....., "..,., '0,," r..."...,... """"'... ...'.d..... I PAUl!) r.kt f'""" 5cIlCl" ,......... AI Stllltmllll 511l1.m A. G. Edwards & Sons, Inc. INVESTMENTS SINCE 1887 Mernbm New Yolk Stock Exchange, /nc. 111 Continental Drive SuiJe 102 Newark, DE 19713 (302) 731.2131 (800) 355-2130 fax (302) 731-7111 July 20, 1995 James D. Flower, Jr.. Esquire Flower, Morgenthal, Flower & Undsay 11 East High Street Carlisle, PA 17013 RE: ESTATE OF FLORENCE E. SHEAFFER D.O.D. MAY 10, 1995 Dear Mr. Flower: I? r:: r. F.' "": j) AUG 0 1 19~5 Ans o. . .. 41 1/2 41 1/2 17 3/4 30 1/4 112 1/4 41 3/4 98 7/8 28 95/8 26 3/8 22.19 14.24 Listed below are the values of the stocks held by Florence E. Sheaffer at the time of her death on May 10. 1995. Allied Signal, Inc., co=on American Brands. Inc., co=on Atmos Energy Corporation, co=on The Black & Decker Manufacturing Company, co=on Costal States Gas Corporation, oo=on Mellon Bank Corporation, co=on Mobil Oil Corporation, co=on Pacific lighting Corporation, co=on Liberty All Star Phillips Gas Europacific Growth Fund New England State ** see below for addt'l Very truly yours, Exploration Co A...!3. EDWARDS & SONS, INC. J ~ C' . ~~\~~~ Lois T. Senff \ \ Vice President/Investments, Assistant Branch Manager 7/8 P,O, Box 1711 Harrisbulll, Pennsylvania 17105 Phone: 717/236-4041 NOTICE OF CERTIFICATE r?ECEIVED JUN 1 9 1995 MATURJTl( ADS dh..... ~... . 1713003792 54 07/17/95 ACCOUNT-NR ACCT-BALANCE TYPE MATURITY-DATE GRACE-PERIOD-END-DATE 7/24/95 ACCOUNT NUMBER. . . . . . . CURRENT ACCOUNT BALANCE . . RENEWAL INTEREST RATE . . . ANNUAL PERCENTAGE YIELD (APYI INTEREST PAYMENT FREQUENCY, . INTEREST CALCULATION FREQUENCY. INTEREST PAYMENT METHOD RENBWAL TERM. . . . . . . . NEXT MATURITY DATE. . . , . NEW GRACE PERIOD. . . . . . NEXT GRACE PERIOD END DATE. DEAR CUSTOMER, YOUR CERTIFICATE OF DEPOSIT SHOWN ABOVE WILL MATURE ON THE DATE INDICATED. THE ACCOUNT BALANCE MAY CHANGE DUE TO INTEREST NOT YET CREDITED TO YOUR ACCOUNT, YOUR ACCOUNT WILL AUTOMATICALLY RENEW ON 07/17/95 AS INDICATED SELOW. 6 MONTH CERT OF DEPOSIT 20,000.00 FLORENCE E SHEAFFER ESTATE , FLOWER MORGENTHAL FLOWER & LINDSAY 11 E HIGH ST CARLISLE PA 17013-3016 . . , . . . , . , . . 1713003792 20,000.00 NOT YET DETERMINED * NOT YET DETERMINED * AT MATURITY DAILY SIMPLE CRECP; 6 MONTHS 01/17/1996 7 DAYS 01/24/1996 THE FOLLOWING IS IMPORTANT INFORMATION REGARDING YOUR CERTIFICATE OF DEPOSIT' 1. THE INTEREST RATE AND A.P.Y. AT WHICH YOUR CD WILL AUTOMATICALLY RENEW WILL EQUAL THE RATE OF EARNINGS ON CERTIFICATES OF THIS TYPE AS OF YOUR MATURITY DATE. 2. IF THE ACCOUNT BALANCE OR ANY PORTION IS WITIIDRAWN DURING THE GRACE PERIOD, EARNINGS SHALL BE PAID AT THE RATE OF EARNINGS ON RENEWED ACCOUNTS OF THIS CLASS. 3, A MINIMUM BALANCE OF $500 IS REQUIRED TO OPEN THE ACCOUNT AND MUST BE MAINTAINED TO OBTAIN THE A, P. Y . YOU MAY NOT MAKE DEPOSITS INTO YOUR ACCOUNT, INTERE~T ON CERTIFICATES WITH A TERM OF ONE YEAR OR LONGER IS COMPOUNDED AND CREDITED ON A SEMIANNUAL BASIS. WE APPLY A DAILY PERIODIC INTEREST RATE TO THE PRINCIPAL BALANCE IN YOUR ACCOUNT EACH DAY. 4. EARNINGS CREDITED TO THIS ACCOUNT MAY BE WITHDRAWN AT ANYTIME WITHOUT PENALTY, THE A.P.Y, ASSUMES INTEREST WILL REMAIN ON DEPOSIT UNTIL MATURITY. ANY WITHDRAWAL WILL REDUCE THE A.P.Y. ON YOUR ACCOUNT, THE MINIMUH BALANCE REQUIRED FOR A MONTHLY INTEREST CHECP; IS $5000. 5. IF YOU MARE ANY WITHDRAWALS FROM PRINCIPAL BEFORE THE MATURITY DATE, YOU WILL BE CHARGED A PENALTY EQUAL TO 90 DAYS INTEREST. * THE RENEWAL INTEREST RATE AND APY MAVE NOT YET BEEN DETERMINED. YOU MAY OBTAIN YOUR RENEWAL RATE ON THE MATURITY DATE BY CALLING THE MARRIS ACCESS LINE AT 731-1135 OR SDO-327-7997 OR A BRANCH OFFICE AFTER THE MATURITY DATE. RI:r.F.l\1F.O MAY 2 6 1995 Mellon Bank Anti 0......... ..... Mellon Bank, N.A. Mellon Bank Cenler P.O. Box 7899 Philadelphia, PA 19101.7899 lfay 22, lllPS JlUMIlI D. Flower, Jr.. ElIq. FLOWER. WJRUENrHAL. FLOWER & LINDSAY II East Hiyh Street Carlillle. PA l7013-3016 Re: ElItate of Florence E. Sheaffer Dear Hr. Flower: In accordance with your request, the following information is provided as of lfay lOt lPPS. ' Please see attached letter, Please contact this department if you have any questions. Sincerely, ~~~~ Written Communication (lPP-5380) 1',0, Box 78PP Phila., Pa. lPl06-789P 1'(11 d11Jd 482 ddh ~ ~~ 1~~1 d!!1 h!! 61 ~I o . E ~ u 6 rl. u A U U ...u... t 8 !;\ I/)...:i '" .. U... l>o tJI U u U A'" .. A '.. .. U :i t ~ U I/) ~'" l>o U u U U Il A 0 u ....Q .. lil ~;>; 1:1 .. :E ~ iUI "'... ...1:1 Il A , :i .' 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"7 ,), -c:;___"''' :I.' . .' -:-' .A ././ ,.. _I""c:.--C-~C::'.~~...... ''''''''~,~.'' c..~,,'i;t2-c.,c;,~ ..~--"'~'Z.. ~;jh!d2..'U'-} ." ?- A/" ~ C &:;. ,,"C ,-", ,if" {;,...;.-~-r... (€i-' .." ..- "<". " c.,~ ~ J&... c..S(!-"':-;< """":..0.-~/' ... ,-~.. ,Je' ...... ' " ,.....-;, ./ ,. -:2... '" ... ' 'f..... _.1/ J.. ..::-t _, J !" ~,/ .;;0;-" .~t.t!.d.<.:.. ~'-"'~-...., 4::-..:/~~-, "- '7n-.-' ?/-~A/~"";I,, ..,3/2 -c:t:1r::;d:7->"'/.":'~~Z: ~,:!/dd ..,S-h"",h ~,!;? oS k- ~~?"/ . / cl ./-L"./ /- . ... L(-4A.d""".--:"'.2 C!.~J-/ :r-d'~.~,~.. "? - ~. ("".., '..:J <:",:~'.1 -.:i7 _:i'. cR::~ ..~ _~~:""I......,.,'/ ~"'lC';J....,- ~., ~ .',_ 'T', ~<~ .r; _0;-- .".r~ , ~aZ/.";.L -v-~..:/>_,,''''J.'I_c..~~'';'::': ~, LJ d I -r-. /C::r 7 ~,~",ra--'/ i _ _ ,. / ,., ..:' C~L ~/~ "",~~.,-::.z -''''?~.1'''''M~I.~..,.'' F~r- 46"'/:~/; ./aULP ~&~~J-C.;<"-. /::.'~. ..~,/j/,,~ k.J/.......nZct-~..2""...2... ~,v~ ,.'.; ::;~ ~~;/,/...:<\;;~.; ,7 ~c-c.. "" t:----::.., .'t'" ,,~".1. ~1_~ :...... c_ ,;'._' .:;t:. : ( . ! ..;7c ;c I ?-; e:z.c."z : .', ! /.. I , I . .....:,. ';"-'-" , j /. I ~ ;.:', I , ;::;>-", Il"",;..- c-; i I ,? i' j ~. ..... :- I ~ .., . .~ "-'-, " .. ~c.<' .;7': :;>,. .... - ~ , 00/.'''' r. -p I t'.:"t)t'-. ~::"';4r.' '.";f.~,'.~ lC~I-"") t!.c~.:. 6/.../ Z" u~ :L.2 .../ 7 .~ ~ ~-2.~~,p t:<,n:t;::-Ln. .~,,:t':-,1t' ~d~IC ." ,. I ~/ I /" ~/. .;~ -:J,.:L4~ J~ /,.....,'j"j-- ....,. ~t!... ......... ~/..",/.. ,.,..'.',.. ..,/.rt>G..~ ~_... ,r-'''"' , ....- v'-" .,.. ':;.J _.~, .-;:1;"..,' ~~1~' " ,/ ~ ~ ' c.... 'f ..~(,.,~.:.'::';'!"..~,..~('" ,'-::::!. ~_ ..~..._;.t...._-.. ''::'~. ;z. T -- /"" ... /"@";'S;:"'- _ ..;1_";', oil '~'.' "?,, ..+11" . ".' 'I::::;1..l .~.. "'II .oj ~"",-_'l.:..;4"::...&.:-,....._ ~-:::-- .. "~"_. ,...c./"'(..,~,,:"7,';. ~ ...-"" r-.q ~ ... _ '-- -1 --, I .'/ _ ...., .,..,F/;"f " .J1I... ...... '., ~ . .' " . #'. ... ........ ~,_~ .............:.. .?f!i-'" 1:... r. _.~'.,'. . ."" " . . - ~ ~/:::y' "'" I I"j~~-/ 7' ~.'- C,a/t'....L, ........ --- @ . ;0..1 .,''-:., ~ ...c.-,. .._.J' /....lc ../')'J' I , /. '."! ... . I .......1 /....... I I ~r:' I " ..I J_ (.,....:;:. " , . ... 7'f A / .-,' 'I{I" r..~ ~,'. __ I ~d..t~ /dZ~/ 11"11 j..:' ... i , ~-L/Jd<>d;",J <<=.L.~z1f/ I ~~~~ ~~~i ,'. " ... , . . .., i" . '" l'~ " ,,;- -'.,... .......-..... . - ~.~-- ------ ------------- -- _-:.. -----..:..- -- - ----- --------~ , , \'l, giAA': 08" 22' 8'8 COMMONWEALTH OF PENNSYLVANIA ~o. "" "",,. DEPARTMENT OP REVENUE . " OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ,....-.1162111....) ~~ RECEIVED FROM. i ACN ASSESSMENT r:t CONTROL ~ NUMBER AMOUNT FLOWER JAMES D JR 11 EAST HIGH STREET Iv1 .~O'='.tII1 CARLISLE. PA 17013 ESTATE INFORMATION, I:t FilE NUMBER ~ el-199~-03e3 I:t NAME OF DECEOENT (lAST) ~ SHEAFFER FLORENCE II DATE OF PAYMENT m POSTMARK DATE COUNTY CUMBERLAND OATE OF DEATH SSN 16e-ee-678e IFIRST) IMI) E i I 'OIDHlIf-4 i I I ~ !, i - 'OlD HlIf I I , , I I i SEAL GAYLE SHEAFFER CIO JAMES D FLOWER ESQUIRE CHECI<41 47, m TOTAL AMOUNT PAID REGISTER OF WILLS (' .' RECEIVEDUY )/!~ /,;( ,/".;,,) .i/ I StuNAfUjU :,/ " " ,'/.. MARY C. LEWIS .<:' / // ,'.' '/ . j REGISTER OF WILLS .~63.S1 VZ REMARKS ~--------------------------------------------v--, , ' __,A _~ . --'~...:_,--.:,-..............~.H _ _"'lIftr -"'1-.. " PURPOSE OF NOTICE. To fulfill the reqult...nt. 0' Slctlon 2145 (b>> of thl Inherltlncl and [,tat, 'I. Act, Act 22 0' 1991. (12 P,S. S.ctlon 2145). PAYHENTI D,tlch thl top portion of thl. Hot1el ~d .~lt with ~our plv..nt to thl ~.gl.t.r of Willa prlntad on the t.v.r.. ,Ie". -- Halt. chick or loneV order pavable tal REGISTER OF MILLS, AGENT. All p.v.~t. r,cllvld ,hall ba appllld flrat to any Int.r..t which ..y ba due with any r...lnd., ,ppllld to thl t... REFUND leA) I A r.fund af It.. crldlt ..y bl r.~.t.d by cOlp.atlng an "Application for R,fund of Pannlvlvanla Im.rUMeI Itnd Eat,t, hie" CREY.UlSJ. ApPllC1t1onl .t. Ivallabla It thl Dfflu of thl Rlah'.r 0' Wllh, any of the IS R.vlnu. DI.trlct Of,lc.. Dr frol thl DIP,rt.'nt', 24.hour an,wlrlng ,.rvlel ~'r' for 'or.. orderlnll In P,nn.vlvanla 1-'00-562-2050, out.lda Pann.vlv~la .nd within lac.1 H.rrl.burg .r.. (717) 7'7-a094, TOO' (717) 772-21St IH.erlng l.pelred Onlv). OIJECTIDHSl Anv party In Int.r..t not e.Uefl.d with the ........nt of tn .. .hown an thh noUn ..v Object within .Ixtv (60) d.y. of racalpt a' thl. Hatlca bVI ....rltten prat..t to the PA a.part..nt af A.v.nu., la.rd of App...., a.pt. za1021, Harrisburg, PA 17128.1011, OR ...I.cUng to hall. the ..tt.r det.r.lned .t eudlt of the p....Dn.1 r.pr...nt.tI"., OR .-appa.1 to the Orphan.' Court. AD"IH. ISTRATlYE CDRRECTlOHSI FactuII .rrar. dl.cav.r.d an thl. .......ant .hould b. addr....d In ..rltlng tal PA Depart..nt a' Re"anu., lur.au of Individual Taxa., ATTHI pa.t A.....aent R.vl... Unit, a.pt. 280601, Harrl.burg, PA 1712.-0601, Phon. (111) 187-6505. Sa. pag' 1 a' the baakl.t "In.tructlan. far Inharltanc. '.w R.turn 'or a R,.ld.nt Dac.d'"t~ (REY-1S01) far In 'MPlanatlan of ad.lnl.tr.tlv.ly cDrr.ctabl. .rrar.. INTEREST I Far dat.. of daath an or I't... 10-1-'1, Pann.yl".nla E.tat. 'eM ba.ad an th. F.daral E.t.t. TIM r.turn bacDae. dallnquant at tha e.plratlan of nln. 10') .anth. fro. the d.t. af de.th. Far dat.. of daath prior to 10-5-91, P.nn.ylvenla E'tate '.x ba.ad an thl F.d.ral E.tat. 'aw r.turn b.CD... d.llnquant .t the ..plratlan a' eighte.n (18) Ianthe 'ral thl d.t. of d..th. T.... ..hlch bac... d.linquant b.fare Janu.ry I, 1.82 b.. I' Int.r..t .t the rat. of .Ix C6~) parc.nt p.r .nnu. c.lcul.tad .t . d.IIV r.t. a' .000164. All t.... which b.ca.. d.llnqu.nt an or after Janu.ry 1, 1"2 ..Ill b..r int.r..t at . rat. ..hlch will vary fro. cal.ndar v.ar to c.l.ndlr vaar with that rat. annauncld by th. PA Dapart..nt of Aav.nu.. The appliCable Int.r..t rat.. far 1'82 through 1996 ar'l '!!!! In"r..t A.ta Oallv Int.r..t Factor V.ar Intlr..t R.t. O.llv Inl.r..t F.ctar 1912 "X .000541 1987 'X .000241 1911 lOX .000451 1911"1991 lU .000501 19" m .00OSDl 1992 OX .000241 1915 13X .000156 1995-1994 7X .000192 1986 1G~ .000274 1995"1996 .X .000l41 ulnt.r..t II c.lculatad .. 'allawlI INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR --Any Hatlc. I..uad .ftar the t.x baca... d.llnquent will r.fllct an Int.r..t c.lcul.tlan to ,I't..n 11SI day. b.yand the d.t. of the ........nt. If pay.ent I. .ad. a'tar the Int.r..t ca.putatlan dati .hawn on th. Notice, addltlon.l Int.r..t lU.t b. calcul.t.d. j 1.!5' :;;'/.-7' REV-1547 EX AFP 02-95* COMHOHWUl TIt Of PENNSYLVANIA DEPAR'"["' or REVENUE BUREAU OF INDIVIDUAL TAMES DEPI. zeoUI IIARAISIUAO, PA 171l1-0601 ACN 101 NOTtCE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT DF TAM DATE 03-11-96 FILE NO. OF DEATH 05-10-95 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TD YOUR ACCDUNT, SUBHIT TNE UPPER PDRTtON OF THIS FORH WtTH VOUR TAM PAYHENT TO THE REOISTER OF WILLS. HAKE CHECK PAVABLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: JAMES D FLOWER JR ESQ FLOWER ETAL 11 E HIGH ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount R..itt.d o~ V CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'v:isW-EX--Aj:jo--mr:9SY-NOYicE--O,;-YtiHEifiTAN-CE-YAX-j("PpjiiiisEHEN,.-.--AL'LowiiNCE-oFi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SHEAFFER FLORENCE E FILE NO. 21 95-0383 ACN 101 DATE 03-11-96 TAM RETURN WASI (XI ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I eat.t. (Schedule A) II) 2. stocks and Bondi (Schedule BJ (2) 3. Clo..ly Hald stock/Partnership Int.,...t (Schedule C) 151 ~. Hartg.g../Not.. Receivable (Schedule DJ (4) 5. C..h/Bank Deposita/Hllc, p.,.lon.l Property (Schedule EJ 15) 6. Jointly Owned Property (Schedule FJ (6) 7. T,.anlf.,.. (Sch.dul. OJ (7) 8. Tot.l A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fun.,..l EMP.n.../Ac~. Ca.t./Hi.c. Exp.n... (Schedule H) 10. D.bt./Hartgeg. Llabiliti../Li.n. (Sch.dule X) 11. Tat.l Deduction. 12. H.t Value of Tex Return 13. Charltabl./CovernM.ntel B.que.t. (Sch.dule J) 14. H.t V.lu. of E.tat. SUbject to Tex NOTE: (91 !lOI If an assessment was issued previOUSly. lines reflect figures that include the total of ~ ASSESSMENT OF TAX: 15. A.ount of Lin. 14 at Spou..l r.te 16. AMount of Line 14 taxabl. at Lin..I/CI... A ret. 17. A.ount of Lin. 14 taxeble at Collateral/Cla.. Brat. 18. Princlp.l Tax Due TAX CREDITS: PAYHENT DATE 08-08-95 11-03-95 !lSI !lbl !l71 RECEIPT NUHBER AA048090 AA082288 DISCDUNT (+ I INTEREST '-I 1,894.74 .00 I CHANG EO 93.000.00 510.119.10 .00 .00 37.070.84 .00 30.385.00 (BI 670,574.94 33.230.14 2.369.92 (111 !l21 (131 !l41 :'!~.6nn 06 634.974.88 .00 634.974.88 14. 15 and/or 16. 17 and 18 will returns assessed to date. .00 M .00. 630.974,88 x .06. 4.000.00 x .15. !l81 .00 37.858.49 600.00 38.458.49 AHDUNT PAID 36,000.00 563.81 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INDICATEO, SEE REVERSE FOR CALCULATION OF AOOITIONAL INTEREST. 38,458.55 .06CR .00 ,06CR ( IF TOTAL DUE ts LESS THAN .1. NO PAYHENT IS REqUIRED, tF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I ("/ RESERVATION I E.t.t.. of d~.o.nt. dying on or b.for. D'c'~'r 12, 1982 -- If any futur. Int.r..t In the ..t.t. I. tr~.f.rr.d In po.....lon or enJoY..nt to CI... . (coll.t.r.l) b.n.flcl.rl.. of th. d.c.d.nt .ft.r th. ..plr.tlon of ~y ..t.t. for Ilf. or for y..r., th. Co..Qftw..lth h.r.by ..pr...ly r...rv.. the right to .ppr.I.. .nd ...... tr.n.f.r Inh.rlttnc. T.... .t the I.wful CI... . (coll.t.r.l) r.t. on ~y .uch future Int.r..t. PURPOSE OF NOTJCEI To fulfill th. r.qulr...nt. of S.ctlon 21~D of th. Inh.rlt~c. and E.tlt. T.. Act, Act 22 of 1991. 72 P.S. Section 21~D. PAyttENTI a.t.ch th. top portion of thlt NoUn and .utuI!t with your p.y..nt to th. Rlgl.tar of Willt prlnt.d on th. rav.r.. .Id.. --"Ik. ch.ck or .onty ordar plyabla tal REGISTER OF MILLS, AGENT All p.y.ent. racalvld shall flr.t ba appll.d to .ny Int.ra.t whIch ..y ba dua with any ra.alndar appllad to th. t... REFUND (eR)1 A rafund of . t.. cr.dlt, which w.. not raqu..t.d on tha T'M Raturn, .ay ba r.qua.t.d by co.platlng an "Appllc.tlon for A.fund of P.nn.ylvanl, Inh.rltanc. and E.t.ta To." (REV-llll). Appllc.tlon. .r. .vallebl. .t th. Offlca of th. R.glat.r of Willa, any of th. 21 R.v.nu. DI.trlct Offlc.., or by c'lllng the .pacl.1 2~-hour an.w.rlng ..rvlca nu.b.r. for for.. ord.rlngl In P.nn'Ylvanl, 1-aOD-36Z-2D5D, out.lda Pann.ylvanl. and within loc.1 Harrisburg ar.. (717) 187-8094, TOO' (111) 112-2252 (HI.rlng lapalr.d Only). OBJECTIONS I Any p.rty In Int.r..t not ..tl.fl.d with the .ppr.I....nt, allowanc. or dl..llowanc. of d.ductlon" or ......-.nt 0' t.. (Including dl.count or Int.r..t) .. .hown on thl. Hotlca ~.t obJ.ct within .I.ty (6D) d.y. of r'calpt of thll Hotlc. by. --wrltt.n prot..t to tha PA Dapart..nt 0' R.v.nu., Board of App"I., D.pt. 281021. Harrl.burg, PA 11128-1021, OR --alactlon to hlva tha 'attlr datar.ln.d It audit of th. account of th. p.r.on.1 r.pr...nt.tlv., OR --app.11 to thl Orphan.' Court. ADHIN ISTRATlVE CORRECTIONS I F.ctual .rror. dl.cov.rld on thl. ........nt .hould b. .ddr....d In writing tOI PA D.part..nt 01 Rlv.nul, Bura.u of Indlvldu.1 T...., ATTHI Po.t A.......nt Ravl.w Unit, Dlpt. 280601, Harrl'burg, PA 17128.0601 Phone (717) 181-6505. S.. pag. 3 0' th. booklat "In.truotlon. for Inh.rltanc. T'M Raturn for. Rs.ldant Dac.dant" (REV-1501) for an ..planltlon of adalnl.tratlvaly corr.ct.bl. .rror.. DISCOUNT. If Iny tlM due I. p.ld wIthin thr.. (3) cel.nd.r .onth. a,t.r th. d.c.d.nt'. d.ath, a flv. p.rc.nt f5X) dl.count of th. t.. p.ld I. .llow.d. IHTERESTI Int.r..t I. ch.rg.d beginning with flr.t day 0' d.llnqu.ncy, or nln. (9) _onth. and ana (1) d.v 'rD. tha data 0' d'lth, to the d.t. of p.y.ant. T.... which b.c... dallnquent b.fora Januery 1, 1982 b..r Int.r..t .t th. r.t. of .IM (6X) p.rc~t p.r annUl cllcul.t.d .t I d.lly rata of .OOOI6~. All t.... which b.ca.. d'llnquent on .nd ,'t.r Janu.ry I, 1982 wIll b..r Int.r..t .t I ret. which will v.ry fro. c.l.nder y..r to CII.nd,r y..r with th.t rlt. ennounc.d by the PA D.p.rt.ant 0' R.v.nu.. Th. appllc.bl. Int.r..t r.t.. for 1982 through 1996 .re, !!!! Interast R.t. Delh Intar..t Fector Y..r Intar..t R.t. O.lly Int.r..t f.ctor 1911 'U .0005"8 1981 .t .0002U 1985 lOt .000438 19aa-I991 llX .000101 198" lit .000101 1992 .t .000t41 1915 .n .000156 199)-1994 7t .000192 1986 'U .000214 1995-1996 .t .OO02~1 --Intar..t Is cllcuhtad .. 'allow" INTEREST . 8ALANCE OF TAX UNPAIO X NUN8ER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlcl I..u.d I't.r the t'M b.eo... d'llnqu.nt wIll r.II.ct en Int.rl.t c.lcul.tlon to flft..n tiS} d.y. b.yond tha dlt. of the ........nt. If p.y..nt I. 'Id. .ft.r the Int.r..t co.putetlon date .hown on tha Notlc., .ddltlon.1 Int.r..t .u.t b. c.lcullt.d. \ v/ REV-73& EX AFP (12-9*,1 tQMDHW[Al JIt or PENNSYLVANIA D[PAR'H[NT OF REVENUE BUREAU OF INDIVIDUAL t,XES . DEPt_ ZI06Dl HARAlsaURO, PA 1'1'1-0601 /5. 3 <I - '-/ ACN 202 (' 0/ NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE 07-01-96 ES ATE OF SHEAFFER FLORENCE E FILE NG, ZI 95-0383 DATE OF DEATH 05-10-95 CGUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNtT TNE UPPER PORTtON Of THIS fORH WITH YOUR TAK PAYHENT TO THE REGISTER Of WILLS. HAKE CHECK PAYABLE TG "REGISTER Of WILLS, AGENT". REMIT PAYMENT TOI JAMES D FLOWER JR ESQ FLGWER ETAL 11 E HIGH ST CARLISLE PA 17013 REGISTER DF WILLS CUMBERLAND CO CDURT CARLISLE, PA 17013 I HDUSE AMount R...U t.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ..... R-iy:;i&--EX--AFP--iiz:-9Sj-----.-.-NCificE--OF--PETifRHiiiAfib-N-Aiip-ASlSESS-HEN;r---------------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER MM ESTATE OF SHEAFFER FLORENCE E FILE NO.Zl 95-0383 ESTATE TAX DETERMINATION ACN ZOZ DATE 07-01-96 1. Credit For Stete Deeth Taxes as Varified 1.879,40 Z. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interestl 36,563.75 3. Inheritance Tax Assassed by Other Statas or Territories of the United States (Excluding Discount end/or Interast) .00 4. Total Inheritance Tax Assessed 5. Ponnsylvania Estate Tax Due 6. Amount of Pennsylvania Estate Tax Previously Assessed Baaed on Fadsral Estate Tax Return . DO 7. Additional Psnnsylvania Estata Tax Dua .00 TAX CREDITS I PAYMENT DATE DISCOUNT (+1 INTEREST (-I RECEIPT NUMBER AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 00 00 o M ~6RP~A~cO[If~0~Hb~ RftbIT~S~A~EY~~~~E~fDE ( If TOTAL DUE IS LESS THAN n, NO PAYNENT IS REqUIRED. If TOTAL DUE IS REflECTED AS A "CRtDIT" ICRI, YOU HAY BE DUE A REf UNO. SEE REVERSE SIDE Of THtS fORN fOR INSTRUCTIONS.l 0:.-, !--~ ..... co ';r) ,.... Ii: e.~ '''n: " ( '. ,) ., co N ~ " .~; "E ~8 ~i. U l.J 11) l1.lCC 0: 'tl pi PURPOSE OF NOTICE. To fulfill the nquJnlenh of SICtlon Zl4S Cb) of thl Inharltenc. Md Elt... TI. Act, Act ZZ of 1991. (72 P.I. SICtlon 1145). PAMMTI O.tach the top portion of thl. Hot Ie. and .~It with vour plVlent to the RIDllt,r 0' will, prlntld on thl r.v.r.. "eM. u Hak. check or 10M, order PI.,abll tal REGISTER or MILLS, AGENT. All p.w..nt. r.calvld ,hili bl applIed fir.' to any Int.r..t which "Y b. dUI with any r...lnd.,. applied to thl tl.. REfUND (CA)I . nfund of . tllC cudlt ..., bl r.qu....d by cOIlp)etlng an ".ppllntlon for R.fund of Penn,vtvan.e Inheritance MMS E,t,., hll" (REY-ISIS). 'pplle,tlone '1" IVIllebl, It thl Office 0' thl Rlllhte,. of Willi, ."., 0' the U Alv.".". Dlltrlct Offlul or '1'01 the hp.rtaant'. Z4-hour WI'Mlrlng ..rvlce nuab.n for for.. orderlnlll In penn..,lvanS. l-100-S62-1050, out.ld. P'nn.ylv~l. and within loc.1 Herrl.burg araa (717) 717-1094, tOOl (717) 77t-llS2 (H.arlng lapalr.d Only), OBJECTlONSI Any party In Int.r..t not ..tltft.d wlth thtl ........nt of ta. .. .ho"" Df'l this naUct ..y abj.ct wlthln .I.ty (60) d.y. of r.c.lpt of thl. Hatlc. bYI --..rltt.n prot..t to the PA D.p.rt..nt of R.vll'lUl, Ia.rd of App.ah, a.pt. 211021, Harrltburg, PA 1712'-1021, OR --.I.ctlng to hav. thtl .aUar dtt.r.ln.d at audlt of th. per.anal npr...ntaUv., OR --app..1 to thtl Orphan.' Caurt ADMIN- ISTRATIVE CORRECTIONSI Factual arror, dl.covar.d an thl. ........nt .hould b. addr...td In writing tal PA aapartaant of Aav.nu., Bur.au of Individual Ta..., ATTNI Po.t A.......nt R.vl.w Unit. a.pt, 110601. Harrl.burg. PA 1712'-0601, Phone (717) 717-6505. S.. p.g. S of th. bookl.t Mln.tructlon. far Inh.rltanc. Ta. A.turn for a R..ldent a.c.d.ntM (AEV-ISDI) for In ..pl.natlan of .dtlnl.tratlv.ly carr.ct.bl. .rror.. PENALTY' ThtI 15~ t.x ..~.ty non-partlclp.tlon p.nalty I, caaput.d on thl tatll of thl tax and Int.r..t .......d, and not plld b.fora Janu.ry II, 1996, th. Urat d.y .fhr tha .nd of th. t.. llIn..ty p.rlod, Thlt non-plrtlclp.tlon pen.lty I, app..ltbl. In th. .... .ann.r and In th. the .... tl.. plrlod .. you would appl.1 thl t.. and Int.r..t th.t ha. b.en .......d I' Indlc.tld on thl, natlcl. INTEREST. Addltlon.1 P.nn.ylv~l. E.t,t. T.. .....,.d II a r.,ult of . changa an the fad.ral E.t.t. 'ax clo.lng I.ttlr b.cot., d.llnquant .t thl ..plr.tlan of ani (I) lonth fro. th. data the fln.1 notlc. of thl Incr.... In F.daral E.t.t. '.x it r.c.lv.d, '1.1' which blc... dlllnqutnt b.far. Janu.ry I, 1912 ba.r Int.r..t .t thtl r.t. of ,Ix C6~) p.rc,"t p.r ~ c.lcultted It . dally rat. of .0001'4. All tau. which b.c... d.l1nquant on or aftar January 1, 1912 will bI.r Int.r..t .t . rlt. which will vary fro. c.l.nd.r y..r to c.l.nd.r y..r with th.t r.t. announc.d by th. PA Dtp.rtaant of Alvanua. Th. .ppllcabl. Int.r..t rat.. for 19.2 through 199' .r'l ~ Intar.,t A.t. a.u., Intar..t F.ctor ~ Inter..t R.t. Dally Intar..t Factor 1911 ..X .000548 1987 'X ,000147 1915 I'X ,DODU8 1'88-1991 IU ,OOOSOI 1984 \IX .ODUOl 1992 OX .000247 1915 ISX ,ODDSS6 1995-1994 ]X .DOOI92 191. lOX ,oDD17'" 1995-199' 'X .000247 "'Intar..t 1. calculat.d .. follow'l INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR .-Any Hotlc. I..ued aft.r the t.x b.co... d.llnqu.nt will r,'leet an Int.r..t calcul.tlon to flftlen 115) day. b.yond t~ data of thl """tent. If p.y..nt I. .~. .ft,r thl Int.r..t catpUt.tlon d.t. .hown on thl Notlc., .ddltlonal Int.r..t ~.t b. calculat.d. ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent t FLORENCE l::. SIIEI\PFER Date of Deathl May 10, 1995 Will No, Admin. No. 21-95-03B3 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the followingl a. Did the personal representative file a final account with the Court? Yes No x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report, FI,OWER, ~IORGENTIlAL, FLOI~ER & LINDSAY Date: 4/9/97 By ',- fl ~~.? co ';') t:':J :.~[E J mes D. Flower Jr. ame (Please type or print) 11 East Iliqh Street, Carlisle. PA 17013 Address ~ 0, ~ , n: & " '" r.: II:. r-- P' , ./ , t:: .E::> UU (717) 243-5513 Tel. No. Capacity: Personal Representative X Counsel for personal representative (MAH:rmf/AM3)